Keith J Peacock, MD - Medicare Emergency Medicine in Atlanta, GA

Keith J Peacock, MD is a medicare enrolled "Emergency Medicine" physician in Atlanta, Georgia. His current practice location is 1968 Peachtree Road Nw, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 605-2800.

Keith J Peacock is licensed to practice in Georgia (license number 057738) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255378105.

Contact Information

Keith J Peacock, MD
1968 Peachtree Road Nw,
Atlanta, GA 30309
(404) 605-2800
(404) 351-5983



Physician's Profile

Full NameKeith J Peacock
GenderMale
SpecialityEmergency Medicine
Location1968 Peachtree Road Nw, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255378105
  • Provider Enumeration Date: 05/31/2006
  • Last Update Date: 09/11/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6002828670
  • Enrollment ID: I20060622000304

Medical Identifiers

Medical identifiers for Keith J Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255378105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 057738 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keith J Peacock allows following entities to bill medicare on his behalf.
Entity NamePiedmont Ed Professionals Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932477429
PECOS PAC ID: 1759543176
Enrollment ID: O20120501000744

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith J Peacock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keith J Peacock, MD
275 Collier Road, Suite 500,
Atlanta, GA 30309

Ph: (404) 605-5516
Keith J Peacock, MD
1968 Peachtree Road Nw,
Atlanta, GA 30309

Ph: (404) 605-2800

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Emergency Medicine Doctors in Atlanta, GA

Dr. Benjamin Aaron Levy, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 5665 New Northside Dr Nw, Suite 200, Atlanta, GA 30328
Phone: 770-874-5400    
Essi I Peers, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5665 New Northside Dr Ste 200, Atlanta, GA 30328
Phone: 770-874-5400    
Prince N Martin,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342
Phone: 678-843-7001    
Melissa H White, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303
Phone: 404-616-4307    Fax: 404-616-8022
John H Lloyd, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1358 Middlesex Ave Ne, Atlanta, GA 30306
Phone: 404-944-7563    
Dr. Vida M. Reklaitis, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 404-851-6936    Fax: 404-851-6024
Dr. Steven M Joyce, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2292 Peachtree Rd., Nw, Atlanta, GA 30309
Phone: 801-558-7791    

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